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PMID: 20972331 Published · ppublish English Journal Article Research Support, N.I.H., Extramural

Acute depletion of activated memory B cells involves the PD-1 pathway in rapidly progressing SIV-infected macaques.

The Journal of clinical investigation ·Vol. 120 ·No. 11 ·2010-11-00 ·Pages 3878-90

Titanji K, Velu V, Chennareddi L, Vijay-Kumar M, Gewirtz AT, Freeman GJ, Amara RR

Abstract

Rapid progression to AIDS is a significant problem, especially in developing countries, where the majority of HIV-infected individuals reside. As rapid disease progression is also frequently observed in SIV-infected macaques, they represent a valuable tool to investigate the pathogenesis of this condition in humans. Here, we have shown that pathogenic SIV infection in rhesus macaques resulted in a rapid depletion (as early as week 2) of activated memory B (CD21-CD27+; mBAct) cells that was strongly associated with rapid disease progression. This depletion was progressive and sustained in rapid progressors, but less severe and transient in typical progressors. Because of the rapid and sustained depletion of mBAct cells, rapid progressors failed to develop SIV-specific Ab responses, showed a decline in non-SIV-specific Ab titers, and succumbed faster to intestinal bacterial infections. Depletion of mBAct cells was strongly associated with preferential depletion of mBAct cells expressing programmed death-1 (PD-1), and in vitro blockade of PD-1 improved their survival. Furthermore, in vivo PD-1 blockade in SIV-infected macaques enhanced Ab responses to non-SIV as well as SIV Ags. Our results identify depletion of mBAct cells as a very early predictor of rapid disease progression in pathogenic SIV infection and suggest an important role for the PD-1 pathway in depletion of mBAct cells and impaired humoral immune responses in SIV-infected macaques.

MeSH Terms
Animals Antibodies, Viral/blood,immunology Antigens, CD/immunology B-Lymphocytes/immunology Disease Progression Female Humans Immunologic Memory/immunology Lymphocyte Subsets/immunology Macaca mulatta/immunology,virology Male Simian Acquired Immunodeficiency Syndrome/immunology Simian Immunodeficiency Virus/immunology Viral Load
Chemicals
Antibodies, Viral Antigens, CD
Authors & Affiliations
7 authors, click to expand affiliations / ORCID
Titanji Kehmia
Department of Microbiology and Immunology, Emory Vaccine Center, Emory University School of Medicine, Atlanta, Georgia, USA.
Velu Vijayakumar
Chennareddi Lakshmi
Vijay-Kumar Matam
Gewirtz Andrew T
Freeman Gordon J
Amara Rama R
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Article Info
Journal
The Journal of clinical investigation
Abbr.
J Clin Invest
ISSN
1558-8238
Published
2010-11-00
Epub
2010-00-25
Pages
3878-90
Language
English
Region
United States
NLM ID
7802877
PMCID
PMC2964982
Subset
IM
Grants
NCRR NIH HHS · P51 RR00165 · United States
NIAID NIH HHS · P30 AI050409 · United States
NIAID NIH HHS · R01 AI057029 · United States
NIAID NIH HHS · R01 AI074471 · United States
NCRR NIH HHS · P51 RR000165 · United States
NIAID NIH HHS · R43 AI074471 · United States
NIAID NIH HHS · P01 AI08080192 · United States
NIAID NIH HHS · R01 AI074417 · United States
NIAID NIH HHS · R01 AI071852 · United States
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